Individual
FRANK J. LIEBENTRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6427 DOWNHILL DR, ERIE, PA 16505-1067
(814) 838-2146
Mailing address
6427 DOWNHILL DR, ERIE, PA 16505-1067
(814) 838-2146
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-055642
OH
207Q00000X
Family Medicine Physician
35055642
OH
207Q00000X
Family Medicine Physician
MD032892E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000269047
ANTHEM
OH
01
—
000000517923
ANTHEM
OH
05
—
2384085
—
OH
01
—
N391720
WELLCARE NONPAR
OH
Enumeration date
02/20/2006
Last updated
06/30/2009
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